Active NPI
Foxtail Speech Services LLC
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1316567423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- FOXTAIL SPEECH SERVICES LLC
- Practice address
- 8860 W Evening Star LN
Boise, ID 83709-5306 - Phone
- (814) 918-1476
- NPI assigned
- Apr 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Undzius, M.S. CCC-SLP
- Title
- Owner
- Phone
- (814) 873-9144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
8860 W Evening Star LN
Boise, ID 83709-5306
Mailing address
8860 W Evening Star LN
Boise, ID 83709-5306
Phone (814) 918-1476
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Boise, ID
- NPI 1033547526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589414400000",
"number": "1316567423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8860 W EVENING STAR LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837095306",
"telephone_number": "814-918-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8860 W EVENING STAR LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837095306",
"telephone_number": "814-918-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOXTAIL SPEECH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-18",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A",
"authorized_official_last_name": "UNDZIUS",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-873-9144",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.